Country government

Tanzania

Nutrition for Growth (N4G) commitment

Reported progress

Assessment

Financial commitments
New commitment - added in 2016

1. A total of 147 billion Tanzania shillings committed for nutrition interventions at all levels

2. Allocate a minimum budget for nutrition interventions in the plans and budget of regions and all local government authorities (municipal and district councils), calculated based on the number of children under 5 years in each council. Each child will be allocated TZS 500 (~ USD 0.23) in financial year 2016/17 and this amount will be gradually increased.

Reported progress

1. No response

2. The Government through the President's Office, Regional Administration and Local Government Tanzania (PO-RALG) issued a directive to councils to develop their annual budget based on the number of children under 5 years in the respective council. For financial year 2019/20, the councils were required to allocate Tshs 1,000 per child under 5 years in their annual budget (domestic resources) to cater for nutrition-specific interventions; and the Government through PO-RALG signed a Nutrition Compact, which puts stress on execution of allocated funds, among other indicators. The compact has been cascaded to the ward and village levels..

Assessment
Reached commitment
Basis of assessment

Reported progress shows that the minimum budget has been implemented and increased

Impact commitments
London 2013

1. Reducing prevalence of stunting by 15% by 2015.

2. Reducing wasting below 5% by 2015.

3. Increase exclusive breastfeeding from 50% to 60% by 2015.

4. Reduce prevalence of anaemia among pregnant women from 48% to 35% by 2015.

Reported progress

The prevalence of stunting reduced from 42% (Tanzania Demographic and Health Survey (TDHS) 2010) to 34% (TDHS 2016). According to the 2018 Tanzania National Nutrition Survey, using SMART (specific, measurable, achievable, realistic, timely) methodology there was a further reduction to 31.8%.

Prevalence of wasting was reduced from 6% in 1999 to 4% in 2005 and has remained below 5% by 2015 (Tanzania Demographic and Health Survey (TDHS)), 1999-2015). The 2018 Tanzania National Nutrition Survey shows a further reduction to 3.5%.

The proportion of children aged 0 to 5 months receiving exclusive breastfeeding increased from 29% (TDHS 1996) to 59% (TDHS 2016). According to the 2018 Tanzania National Nutrition Survey, the rate of exclusive breastfeeding currently stands at 57.8%..

The prevalence of anemia among women of reproductive age was reduced from 48% in 2005 to 29% in 2015. According to 2018 Tanzania National Nutrition Survey the prevalence of anemia further declined to 28%. The prevalence of anemia among children below five years of age stands at 58% and it is higher among adolescent girls.

Assessment
On course
Basis of assessment

At least half of the individual commitment components are assessed to be on course

Policy commitments
London 2013

Carry out a Public Expenditure Review on nutrition.

Reported progress

The government has finalized the development of Nutrition Sensitive Agriculture Action Plan (2021-2027) and National School Feeding Guideline 2021.

Assessment
Reached commitment
Basis of assessment

Reported progress in previous Global Nutrition Reports indicates that commitment has been achieved.

New commitment - added in 2015

Revise the National Food and Nutrition Policy and prepare a 10-year implementation strategy (2015/2016–2025/2026). Include nutrition in sector specific strategies or plans.

Reported progress

Nutrition has also been included in sector-specific strategies or plans including the National Health Policy of 2020, Health Sector Strategic Plan V (2021-2026), Nutrition Sensitive Agriculture Action Plan and Productive Social Safety Net programme (2020-2023) (PSSN II), Ruling Party Manifesto (2020-2025) and Five Year Development Plan (2021/2022-2025/2026).

Conducted a lessons learnt review on the implementation of National Multisectoral Nutrition Action Plan (NMNAP I). The result has been used to inform development of NMNAP II.

Assessment
Reached commitment
Basis of assessment

Reported progress in previous Global Nutrition Reports indicates that commitment has been achieved.

Program commitments
New commitment - added in 2015

Increase awareness on nutrition at all levels, rolling out nutrition interventions and resource mobilization. Monitoring meetings for focal ministries are conducted by the Nutrition Secretariat every two months. Nutrition steering committee which consists of Secretaries of the ministries and District secretaries were conducted to brief the activities. It will be conducted every 3 months.

Reported progress

In the reporting period, the country has developed a Planning and Budgeting Guideline for Nutrition Sensitive Sectors and conducted training of Nutrition Focal persons on how they can mainstream nutrition in their plans and budget; The government has also oriented the management teams of nutrition sensitive sectors on nutrition; Finalization stage of NMNAP II and its Resource Mobilization Strategy. The government has also conducted the first scrutinization exercise for councils and nutrition-sensitive plans and budgets. The process has informed us on a number of things including the interventions budgeted and the amount budgeted for nutrition-sensitive sectors. The government is also conducting a mapping exercise of nutrition stakeholders and interventions implemented in the country to understand "Who is doing What and Where".

A Joint Multisectoral Nutrition Review (JMNR) is conducted annually. Preparation for the 2021 JMNR is in progress. The Management Nutrition Information System (MNIS) launched and is now in operation. IMNIS continues to operationalise at local level and nutrition data are well collected. Continue to monitor implementation of NMNAP through quarterly nutrition Thematic Working Groups and bi-annual and annual Bottleneck Analysis (BNA) and Multisectoral Nutrition Scorecards; and; (new commitment 3) Nutrition Sensitive and Governance TWG meetings for the implementation of NMNAP meet quarterly. High Level Steering Committee for Nutrition meetings continue to meet twice a year. The last HLSCN was conducted in December 2020 to launch MNIS and the process of NMNAP II development. Regional/ Council Steering Committees and DPG nutrition continue to meet quarterly; and other platforms such as DPG continue to meet as per TOR.

Assessment
On course
Basis of assessment

Reported progress shows that awareness building and monitoring is ongoing